MIME-Version: 1.0
Server: CERN/3.0
Date: Monday, 06-Jan-97 22:44:46 GMT
Content-Type: text/html
Content-Length: 1953
Last-Modified: Monday, 28-Aug-95 20:56:14 GMT

<html>
<head>
<title>This is a practice form.</title>
<link rev=made href="mailto:luxue@cs.utexas.edu">
</head>

<body>

<FORM METHOD=POST
        ACTION="http://www.cs.utexas.edu/users/luxue/cgi/reply">

<H2> Welcome to the Order List </h2>
<hr>
Please give me the answers to the following questions:

 <P>Your name? <INPUT NAME="name" TYPE=text SIZE="48">

 <P>Your address? <INPUT NAME="addr" TYPE=text SIZE="48">

<P> What do you want to order?
<OL>
    <LI>Pizza <INPUT NAME="browsers" TYPE=checkbox VALUE="pizza">
    <LI>Burger <INPUT NAME="browsers" TYPE=checkbox VALUE="burger">
    <LI>Fried Chicken <INPUT NAME="browsers" TYPE=checkbox VALUE="chick">
    <LI>Big Mac <INPUT NAME="browsers" TYPE=checkbox VALUE="mac">
    <LI>Others <INPUT NAME="others" SIZE=30>
</OL>


Any drinks?
<SELECT NAME="what-to-drink">
<OPTION>             Coffee
<OPTION SELECTED>   Hot Tea
<OPTION> Cocacola
<OPTION> Seven-up
<OPTION> Orange Juice
</SELECT> <P>

Other things?
<DL>
<DD>
<SELECT NAME="what-to-wear" MULTIPLE SIZE=8>
<OPTION>T-Shirt
<OPTION SELECTED>Jeans
<OPTION>Wool Sweater
<OPTION SELECTED>Sweatshirt
<OPTION SELECTED>Socks
<OPTION>Cotton Sweater
<OPTION>Rugby Shirt
<OPTION>Leather Jacket
<OPTION>Boots
<OPTION>Running Shoes
<OPTION>Windbreaker
<OPTION>Vest
<OPTION>Cape
</SELECT>
</DL>

How would you like to pay?  Choose any one of the following: <P>

<OL>
<LI> <INPUT TYPE="radio" NAME="paymethod" VALUE="cash" CHECKED> Cash.
<LI> <INPUT TYPE="radio" NAME="paymethod" VALUE="check"> Check.
<LI> <I>Credit card:</I>
<UL>
<LI> <INPUT TYPE="radio" NAME="paymethod" VALUE="mastercard"> Mastercard.
<LI> <INPUT TYPE="radio" NAME="paymethod" VALUE="visa"> Visa.
<LI> <INPUT TYPE="radio" NAME="paymethod" VALUE="americanexpress">
     American Express.
</UL>
</OL>

<P> Thanks for your order. Any comments? <P>
<TEXTAREA NAME="negative" ROWS=2 COLS=60>I think...</TEXTAREA> <P>

<P><input type=submit> <input type=reset>

</FORM>
</body>
</html>


